On examination horizontal nystagmus was detected, true bulbar palsy (injury of bulbar cranial nerves) with dysphagia mainly to fluids, nasal phonation of voice. Neurologist was asked to see the patient.
Patient was put on proton pump inhibitors, metoclopramide, yet hiccup didn’t stop. Investigations: no apparent cause was detected.
#Pica syndrome nystagmus full
After full examination and evaluation including x-ray chest and abdomen, full lab. Patient was referred to the gastroenterologist to assess the reason for this hiccup. The most commonly affected artery is the vertebral artery, followed by the PICA, superior middle and inferior medullary arteries.Ī male patient 37 years old, hypertensive presented to ER of the hospital by persistent hiccup after lunch. It is the clinical manifestation resulting from occlusion of the posterior inferior cerebellar artery (PICA) or one of its branches or of the vertebral artery, in which the lateral part of the medulla oblongata infarcts, resulting in a typical pattern. Lateral medullary syndrome (also called Wallenberg syndrome and posterior inferior cerebellar artery syndrome) is a disorder in which the patient has a constellation of neurologic symptoms due to injury to the lateral part of the medulla in the brain, resulting in tissue ischemia and necrosis.Ĭlinical symptoms include swallowing difficulty, or dysphagia, slurred speech, ataxia, facial pain, vertigo, nystagmus, Horner’s syndrome, diplopia, and possibly palatal myoclonus. Hiccup, Lateral Medullary Syndrome, Stroke Ethical committee has approved this case after taking consent from the patient and explaining to him the importance of the case in clinical practice. The case study is aimed at providing a more thorough analysis of a case of lateral medullary syndrome presented only with persistent hiccup after eating lunch the study hopes to generate an interest for further studies into the topic and focuses on abnormal unusual presentations of lateral medullary syndrome. Received 31 March 2015 accepted 6 June 2015 published 9 June 2015
#Pica syndrome nystagmus license
This work is licensed under the Creative Commons Attribution International License (CC BY). 1Department of Neurology, GMCH & RC, Ajman, United Arab EmiratesĢDepartment of Clinical Pharmacology, GMCH & RC, Ajman, United Arab EmiratesģDepartment of Radiology, GMCH & RC, Ajman, United Arab EmiratesĤDepartment of Internal medicine, GMCH & RC, Ajman, United Arab EmiratesĥGulf Medical University (GMU), Ajman, United Arab EmiratesĮmail: © 2015 by authors and Scientific Research Publishing Inc.
0 kommentar(er)
